Study of the clinical profile of sporadic cases of Leptospirosis

Dr. Ravindra K. Shravasti; Dr. Vasant B. Jadhav; Dr. Naman Mahesh Shah; Dr. Akshay D. Shah; Dr. Raghunath B. Kulkarni

Volume : V, Issue : II, February - 2015

Study of the clinical profile of sporadic cases of Leptospirosis

Dr. Ravindra K. Shravasti, Dr. Vasant B. Jadhav, Dr. Naman Mahesh Shah, Dr. Akshay D. Shah, Dr. Raghunath B. Kulkarni

Abstract :

Background – Human Leptospirosis is a zoonotic disease.Infection is acquired either directly through contact with an infected animal or indirectly by water or soil contaminated with the urine of an infected animal. We carried out a hospital based retrospective study of 15 sporadic cases of leptospirosis admitted in a tertiary care hospital in Western Maharashtra.Methods–This study was done over a period of one year (Feuary 2013 – January 2014) and included 15 confirmed cases of leptospirosis. Institutional ethical committee permission was taken prior to the study and a detailed hospital indoor records including history, clinical findings, laboratory findings, complications, outcome after treatment were sought to understand the clinical spectrum of the disease. All included cases were positive for Leptospira IgM ELISA test(Enzyme Linked Immunosorbent Assay) with significant titreof ≥ 80. ConclusionLeptospirosis is not uncommon in Western Maharashtra and patients presenting with acute feile illness with thrombocytopenia and rapid deterioration with multi organ involvement should raise the suspicion of leptospirosis. Though seen in monsoon season, sporadic cases can be encountered throughout the year as shown in this study. Early diagnosis and treatment will reduce significant mortality and morbidity